腰椎射頻治療腰椎間盤突出癥課件

1、一、Vertebrae 椎骨There are 33 vertebrae in children, arranged as follows:Cervical vertebrae 頸椎 C.7Thoracic vertebrae 胸椎 T.12Lumbar vertebrae 腰椎 L.5Sacral vertebrae 骶椎 S.5 sacrum 骶骨Coccygeal vertebrae 尾椎 Co.34 coccyx尾骨1腰椎射頻治療腰椎間盤突出癥一、Vertebrae 椎骨1腰椎射頻治療腰椎間盤突出癥五、Normal Curves of vertebral columnCervical

2、curvature頸曲 convex forwardThoracic curvature胸曲 convex backward Lumbar curvature腰曲 convex forwardSacral curvature骶曲 convex backward2腰椎射頻治療腰椎間盤突出癥五、Normal Curves of vertebral c3腰椎射頻治療腰椎間盤突出癥3腰椎射頻治療腰椎間盤突出癥General features of vertebraeVertebral body 椎體Vertebral arch 椎弓pedicle of vertebral arch 椎弓根: sup.

3、 and inf. Vertebral notch 椎上、下切跡 lamina of vertebral arch 椎弓板process (7): spinous process 棘突transverse process 橫突sup. and inf. articular processes 上、下關(guān)節(jié)突Vertebral foramen 椎孔 Vertebral canal 椎管Intervertebral foramen 椎間孔4腰椎射頻治療腰椎間盤突出癥General features of vertebraeVLumbar vertebrae Vertebrae Body： large

4、r, kidney-shape Vertebral foramen: larger and triangular Spinous processes: projects horizontally Transverse processes: long Articular processes: sagittal 5腰椎射頻治療腰椎間盤突出癥Lumbar vertebrae Vertebrae Bod1.Joints of the vertebral bodies 椎體間的連結(jié)Intervertebral discs 椎間盤 between bodies of adjacent vertebrae,

5、 composed of:Nucleus pulpous髓核, an inner soft, pulpy, highly elastic structure (gelatinous core )Annulus fibrosus纖維環(huán) an outer fibrous ring consisting of fibrocartilage6腰椎射頻治療腰椎間盤突出癥1.Joints of the vertebral bodiHernia of nucleus pulpous 髓核脫出7腰椎射頻治療腰椎間盤突出癥Hernia of nucleus pulpous 髓核脫腰椎射頻治療腰椎間盤突出癥8腰椎

6、射頻治療腰椎間盤突出癥8腰椎射頻治療腰椎間盤突出癥9腰椎射頻治療腰椎間盤突出癥9腰椎射頻治療腰椎間盤突出癥10腰椎射頻治療腰椎間盤突出癥10腰椎射頻治療腰椎間盤突出癥11腰椎射頻治療腰椎間盤突出癥11腰椎射頻治療腰椎間盤突出癥12腰椎射頻治療腰椎間盤突出癥12腰椎射頻治療腰椎間盤突出癥13腰椎射頻治療腰椎間盤突出癥13 2.Joints of the vertebral arches 椎弓間的連結(jié)Ligamenta flava 黃韌帶 elastic ligament, unite laminae of adjacent vertebrae, and complete the posterio

7、r wall of vertebral canal; tend to prevent hyperflexion of the vertebral columnInterspinal ligament 棘間韌帶Supraspinal ligament 棘上韌帶Ligamentum nuchae項韌帶 Intertansverse ligament橫突間韌帶 Zygapophysial joint 關(guān)節(jié)突關(guān)節(jié)14腰椎射頻治療腰椎間盤突出癥 2.Joints of the vertebral arc腰椎射頻治療腰椎間盤突出癥15腰椎射頻治療腰椎間盤突出癥15腰椎射頻治療腰椎間盤突出癥16腰椎射頻治療

8、腰椎間盤突出癥16椎 管 狹 窄發(fā)生于椎管、側(cè)隱窩和椎間孔。先天或后天性。頸10mm，腰11.5mmCT：椎體后緣骨贅向椎管內(nèi)突入。側(cè)隱窩狹窄：椎間盤退變膨出和上下關(guān)節(jié)突肥大是其主要原因，前后徑2mm為狹窄，2-4mm為可疑。黃韌帶或后縱韌帶肥厚、骨化。椎體滑脫椎板峽部裂或椎間盤、韌帶退變。MRI：征象同CT17腰椎射頻治療腰椎間盤突出癥椎 管 狹 窄發(fā)生于椎管、側(cè)隱窩和椎間孔。先天或后天性。頸椎 間 盤 膨 出18腰椎射頻治療腰椎間盤突出癥椎 間 盤 膨 出18腰椎射頻治療腰椎間盤突出癥腰椎射頻治療腰椎間盤突出癥19椎間盤突出（中央型） 腰椎射頻治療腰椎間盤突出癥19椎間盤突出（中央型） 腰椎射頻治療腰椎間盤突出癥20椎間盤膨出（較嚴(yán)重，向后有突出） 腰椎射頻治療腰椎間盤突出癥20椎間盤膨出（較嚴(yán)重，向后有突出椎間盤突出21腰椎射頻治療腰椎間盤突出癥椎間盤突出21腰椎射頻治療腰椎間盤突出癥22腰椎射頻治療腰椎間盤突出癥22腰椎射頻治療腰椎間盤突出癥腰椎射頻治療腰椎間盤突出癥23腰椎射頻治療腰椎間盤突出癥23腰椎射頻治療腰椎間盤突出癥24腰椎射頻治療腰椎間盤突出癥2425腰椎射頻治療腰椎間盤突出癥25腰椎射頻治療腰椎間盤突出癥26腰椎射頻治療腰椎間盤突出癥26腰椎射頻治療腰椎間盤突出癥27腰椎射頻治療腰椎間盤突出癥27腰椎射頻治療腰椎間盤突出癥28腰椎射頻治療腰